Chapter 17 Quiz

Your patient opens his eyes, moans, and pulls away from you when you pinch his trapezius muscle. You should assign a Glasgow Coma Scale (GCS) score of: Select one: A. 8. B. 6. C. 7. D. 9.

A

A patient who is possibly experiencing a stroke is NOT eligible for thrombolytic (fibrinolytic) therapy if he or she: Select one: A. is older than 60 years of age. B. has bleeding within the brain. C. has a GCS score that is less than 8. D. has had a prior heart attack.

B

A patient whose speech is slurred and difficult to understand is experiencing: Select one: A. paraplegia. B. dysarthria. C. aphasia. D. dysphagia.

B

Interruption of cerebral blood flow may result from all of the following, EXCEPT: Select one: A. a thrombus. B. cerebral vasodilation. C. an acute arterial rupture. D. an embolism.

B

The MOST significant risk factor for a hemorrhagic stroke is: Select one: A. diabetes mellitus. B. hypertension. C. heavy exertion. D. severe stress.

B

A patient with an altered mental status is: Select one: A. typically alert but is confused as to preceding events. B. usually able to be aroused with a painful stimulus. C. not thinking clearly or is incapable of being aroused. D. completely unresponsive to all forms of stimuli.

C

The left cerebral hemisphere controls: Select one: A. the right side of the face. B. breathing and blood pressure. C. the right side of the body. D. heart rate and pupil reaction.

C

When assessing for arm drift of a patient with a suspected stroke, you should: Select one: A. ask the patient to hold his or her arms up with the palms down. B. observe movement of the arms for approximately 2 minutes. C. ask the patient to close his or her eyes during the assessment. D. expect to see one arm slowly drift down to the patient's side.

C

When caring for a patient with documented hypoglycemia, you should be MOST alert for: Select one: A. an acute stroke. B. respiratory distress. C. a seizure. D. a febrile convulsion.

C

Which of the following conditions would MOST likely affect the entire brain? Select one: A. Ruptured cerebral artery in the occipital lobe B. Reduced blood supply to the left hemisphere C. Respiratory failure or cardiopulmonary arrest D. Blocked cerebral artery in the frontal lobe

C

Which of the following conditions would be the LEAST likely to mimic the signs and symptoms of a stroke? Select one: A. Hypoglycemia B. A postictal state C. Hypovolemia D. Intracranial bleeding

C

You respond to a residence for a child who is having a seizure. Upon arrival at the scene, you enter the residence and find the mother holding her child, a 2-year-old male. The child is conscious and crying. According to the mother, the child had been running a high fever and then experienced a seizure that lasted approximately 3 minutes. You should: Select one: A. advise the mother to take her child to the doctor the following day. B. cover the child with wet towels and give oxygen via nasal cannula. C. transport the child to the hospital and reassure the mother en route. D. call medical control and request permission to give the child aspirin.

C

During the primary assessment of a semiconscious 70-year-old female, you should: Select one: A. immediately determine the patient's blood glucose level. B. insert a nasopharyngeal airway and assist ventilations. C. ask family members if the patient has a history of stroke. D. ensure a patent airway and support ventilation as needed.

D

Which of the following MOST accurately describes a simple partial seizure? Select one: A. A seizure that causes the patient to stare blankly B. A seizure that is not preceded by an aura C. A generalized seizure without incontinence D. A seizure that begins in one extremity

D

Which of the following symptoms would lead the EMT to believe that a patient's headache is caused by sinus congestion? Select one: A. There is associated neck stiffness B. The headache began suddenly C. There is numbness in the extremities D. The pain is worse when bending over

D

When you are obtaining medical history from the family of a suspected stroke patient, it is MOST important to determine: Select one: A. when the patient last appeared normal. B. if there is a family history of a stroke. C. if the patient has been hospitalized before. D. the patient's overall medication compliance.

A

The three major parts of the brain are the: Select one: A. brain stem, midbrain, and spinal cord. B. cerebrum, cerebellum, and brain stem. C. cerebellum, medulla, and occiput. D. midbrain, cerebellum, and spinal cord.

B

Which of the following MOST accurately describes what the patient will experience during the postictal state that follows a seizure? Select one: A. A rapidly improving level of consciousness B. Confusion and fatigue C. Hyperventilation and hypersalivation D. A gradually decreasing level of consciousness

B

You are caring for a 68-year-old man with sudden onset of left-sided paralysis and slurred speech. His airway is patent, his respirations are 14 breaths/min with adequate depth, and his oxygen saturation is 98%. Treatment for this patient should include: Select one: A. oral glucose gel and transport. B. recovery position and transport. C. ventilatory assistance and transport. D. high-flow oxygen and transport.

B

A 30-year-old male experienced a generalized (tonic-clonic) seizure, which stopped before you arrived at the scene. The patient is conscious, is answering your questions appropriately, and refuses EMS transport. Which of the following would be the MOST compelling reason to disagree with his refusal of transport? Select one: A. He has experienced seizures since he was 20 B. His Glasgow Coma Scale (GCS) score is 15 C. His wife states that this was his "usual" seizure D. He is currently not prescribed any medications

D